[Morbidity and mortality related to obstetrical transfers in the Bouafle health district of Ivory Coast]

Sante Publique. 1999 Jun;11(2):193-201.
[Article in French]

Abstract

During one year of observation, the reference hospital of the sanitary district Bouaflé received 112 women evacuated by peripheral structures. 90.2% of the average women who were 25.8 +/- 7.4 years old had been evacuated before their delivery. Their evacuation was mainly due to dystocia (56.2% of cases) post partum haemorrhage (5.4%) and amniotic infection (4.5%). The reasons of the evacuation did not correspond to the admission diagnosis in 45.5% of the case (51/112). The differences that could be observed concerned dystocia and ruptures of the uterus of which 2 cases out of 9 had been diagnosed before their evacuation. During the study, it was noticed the deaths of 4 mothers and 55 babies. These deaths registered most among the evacuees having used public transportation, having received less than 3 prenatal consultations, multiparous (Chi 2 = 10.32; p = 0.04) and having run more than 30 kilometers.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Cote d'Ivoire / epidemiology
  • Female
  • Hospitals, General
  • Humans
  • Maternal Mortality*
  • Morbidity
  • Parity
  • Patient Transfer / statistics & numerical data*
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / etiology*
  • Pregnancy Outcome / epidemiology*
  • Prognosis
  • Risk Factors
  • Transportation of Patients / statistics & numerical data*
  • Tourismus